Simon Tan (NPI# 1902932536, PAC ID# 9931147519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1902932536 |
| PAC ID by PECOS | 9931147519 |
| Professional Enrollment ID | I20050422001227 |
| Full Name | Simon Tan |
| Address |
3415 Beresford Ave Belmont CA 94002-1301 |
| Phone Number | 4083969381 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 3415 Beresford Ave, Belmont, CA 94002-1301 | 4083969381 | |
| 300 Pasteur Dr, Stanford, CA 94305-2200 | 6507234000 | STANFORD HEALTH CARE |
| Street Address |
3415 BERESFORD AVE |
| City | BELMONT |
| State | CA |
| Zip | 94002-1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rupesh Harji Kalthia | Diagnostic Radiology | Stephen W Brown and Radiology Associates of Augusta LLP | 1701 Mills Ave, Belmont, CA 94002-1924 |
| Mary Ruth Edelstein | Clinical Psychologist | 1301 Ralston Ave, Suite C, Belmont, CA 94002-1961 | |
| Faye P Yap Katzman | Optometry | 390 El Camino Real J, Belmont, CA 94002-2007 | |
| David Paul Wittwer | Chiropractic | 390 El Camino Real, Suite 1, Belmont, CA 94002-2054 | |
| Charles Evan Crain | Chiropractic | 560 Masonic Way, Belmont, CA 94002-2703 | |
| Robert K Chan | Physical Therapy | Physiotherapy Associates Inc | 540 Ralston Ave B, Belmont, CA 94002-2866 |
| Alfred Sung | Chiropractic | 540 Ralston Ave D, Belmont, CA 94002-2866 | |
| Valerie A Lee | Physical Therapy | Physiotherapy Associates Inc | 540 Ralston Ave B, Belmont, CA 94002-2866 |
| Belsten Chua | Physical Therapy | Physiotherapy Associates Inc | 540 Ralston Ave B, Belmont, CA 94002-2866 |
| Wanda Dolmage-heath | Physical Therapy | Physiotherapy Associates Inc | 540 Ralston Ave B, Belmont, CA 94002-2866 |
| Find all physicians in zip 94002 | |||
| City | BELMONT |
| Zip Code | 94002 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BELMONT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Simon Tan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.